Prolonged static stretch was applied to bilateral hamstrings to increase ROM in knee join. This was done in conjunction with SWD to increased flexibility of muscle and allow for greater ROM with ADLs.
MANUAL
In order to improve functional mobility via improved tissue extensibility, patient was progressed through myofascial release therapeutic massage and stretching to R gastroc/soleus. Patient responded to treatment well as indicated by improved weight acceptance and increase ankle DF during stance phase to RLE during ambulation.
Manual Tx: joint mobilization tecnhniques, restoration of movement in edematous muscles, stretching of shortened connective tissue, facilitation of fluid exchange, manual lymphatic drainage, manipulation techniques, myofascial release and manual traction.